Herpes simplex is a viral disease
caused by herpes simplex viruses; both herpes simplex virus 1
(HSV-1) and herpes simplex virus 2 (HSV-2) cause herpes simplex.
Acute viral infectious disease characterised by grouped itchy,
vesicular eruptions on skin and mucous membranes.
Infection with the herpes virus is categorized into
one of several distinct disorders based on the site of infection.
Oral herpes, the visible symptoms of which are colloquially called
cold sores, infects the face and mouth. Oral herpes is the most
common form of infection. Infection of the genitals, commonly
known as herpes, is the second most common form of herpes. Other
disorders such as herpetic whitlow, herpes gladiatorum, ocular
herpes (keratitis), cerebral herpes infection encephalitis, Mollaret's
meningitis, neonatal herpes, and possibly Bell's palsy are all
caused by herpes simplex viruses.
Some people have no symptoms. Others get sores near
the area where the virus has entered the body. They turn into
blisters, become itchy and painful, and then heal. The virus can
be dangerous in newborn babies or in people with weak immune systems.
Studies show that genital herpes simplex virus is common.
Herpes viruses cycle between periods of active disease—presenting
as blisters containing infectious virus particles—that last
2–21 days, followed by a remission period, during which
the sores disappear. Genital herpes, however, is often asymptomatic,
though viral shedding may still occur. After initial infection,
the viruses move to sensory nerves, where they reside as life-long,
latent viruses. Causes of recurrence are uncertain, though some
potential triggers have been identified. Over time episodes of
active disease reduce in frequency.
Herpes simplex is most easily transmitted by direct
contact with a lesion or the body fluid of an infected individual.
Transmission may also occur through skin-to-skin contact during
periods of asymptomatic shedding. Oral herpes causes cold sores
around the mouth or face. Genital herpes affects the genitals,
buttocks or anal area. Genital herpes is a sexually transmitted
disease (STD). You can get it from having sex, even oral sex.
The virus can spread even when sores are not present. Mothers
can also infect their babies during childbirth.
Herpes simplex should not be confused with herpes
zoster, which is a viral disease caused by varicella zoster virus.
There are two types of herpes simplex viruses (HSV).
HSV type 2 is the one that most commonly causes genital herpes.
The infection causes painful sores on the genitals in both men
and women. HSV type 1 is the herpes virus that is usually responsible
for cold sores of the mouth, the so-called "fever blisters."
You get HSV-1 by coming into contact with the saliva of an infected
person.
However, HSV type 1 can cause genital herpes, usually
caused by oral-genital sexual contact with a person who has the
oral HSV-1 infection, and HSV type 2 can cause cold sores.
ETIOLOGY
CAUSATIVE ORGANISM
TRANSMISSION
PRECIPITATING CAUSES
- Stress, physical or mental.
- Injury.
- Fever- malaria, pneumonia, meningitis.
- Debility.
WEATHER
- Common in cold season (cold sores ).
CLINICAL
FEATURES
ONSET
LOCATION
- Lips, nose, mouth, genitalia.
SYMPTOMS
LESION
- Starts as red, swollen, localised macule.
- Multiple, tiny, grouped vesicles form on
macule.
- Contents of vesicles are clear.
- Within 24-36 hours contents become opaque.
- Vesicles rupture.
- Crusts form.
- Heals without scarring.
COMPLICATION
GENERAL
MANAGEMENT
- Maintain good hygiene.
- Nutritious diet.
- Keep affected parts clean.
- Adequate physical, mental rest.
Homeopathy Treatment & Homeopathic Remedies
for Herpes simplex
Homeopathy treats the person as a whole. It means
that homeopathic treatment focuses on the patient as a person,
as well as his pathological condition. The homeopathic medicines
are selected after a full individualizing examination and case-analysis,
which includes the medical history of the patient, physical and
mental constitution etc. A miasmatic tendency (predisposition/susceptibility)
is also often taken into account for the treatment of chronic
conditions. The medicines given below indicate the therapeutic
affinity but this is not a complete and definite guide to the
treatment of this condition. The symptoms listed against each
medicine may not be directly related to this disease because in
homeopathy general symptoms and constitutional indications are
also taken into account for selecting a remedy. To study any of
the following remedies in more detail, please visit our Materia
Medica section. None of these medicines should be taken without
professional advice.
Homeopathic Remedies
-
Apis.
-
Arsenicum album.
-
Cantharis.
-
Graphites.
-
Hepar sulphuricum.
-
Mercurius solubilis.
-
Nat-mur.
-
Nitric acid.
-
Rhus tox.
-
Sulphur.
ARS.
ALB.
Herpes typically affects the lips,
the face and intercostal region. The eruptions are confluent ith
intense burning sensation in the blister. Patient is worse after
midnight and from cold in any form. Patient feels better by warmth.
Associated with herpes, patient feels very thirsty and gets prostrated
very easily. Herpetic eruptions alternate with internal affections.
Great Prostration, with rapid sinking
of the vital forces; fainting. The disposition is:
a. Depression, melancholy, despairing,
indifferent.
b. Anxious, fearful, restless,
full of anguish.
c. Irritable, sensitive, peevish,
easily vexed.
The greater the suffering the greater
the anguish, restlessness and fear of death. Mentally restless,
but physically too weak to move. Indicated by its periodicity
and time aggravation: after mid-night, and from 1-2 a.m. And by
its intense restlessness, mental and physical: its anxiety and
prostration.
GRAPH
Graphites has a special affinity for
folds of skin, e.g. joints, behind ears, groins, neck. Herpes
in obese females with delayed and scanty menses. Herpes appearing
at climateric. Large blisters from umbilicus to the spine, mainly
affecting left side. Itching spots on various parts of the body
which oozes a watery sticky fluid. Itching as though foreign matter
would pass out through the skin. Circular herpes, feels hard to
touch and is wrinkled. The itching is worse at night, during and
after mensturation and is better from wrapping up.
Suited to - Excessive cautiousness;
timid, hesitates; unable to decide about anything. Fidgety while
sitting at work. Sad, despondent; music makes her weep; thinks
of nothing but death.
HEPAR
SULPHUR
Face, hands, genitals and bends of
knees and elbows are the commonly affected regions. Herpes after
abuse of mercury. Adapted to persons with unhealthy skin which
suppurates easily. Patients are highly sensetive to cold. Herpes
zoster from spine forwards, especially the left side. The eruption
is the seat of acute neuralgic pains which are worse at night;
vesicles on an inflamed base associated with splinter like pains,
severe itching and scratching. There is marked aggravation at
naight, from cold; touch and the patient feels better in damp
weather and from wrapping up wramly. Eapecially suited to persons
with a sour body odour. Herpes circinatus.
For torpid lymphatic constitutions;
persons with light hair and complexion, slow to act, muscles soft
and flabby. The slightest injury causes suppuration. Diseases
where the system has been injured by the abuse of Mercury. In
diseases where suppuration seems inevitable, Hepar may open the
abscess and hasten the cure. Oversensitive, physically and mentally;
the slightest cause irritates him; quick, hasty speech and hasty
drinking. Patient is peevish, angry at the least trifle; hypochondriacal;
unreasonably anxious. Extremely sensitive to cold air, imagines
he can feel the air if a door is opened in the next room; must
be wrapped up to the face even in hot weather; cannot bear to
be uncovered; takes cold from slightest exposure to fresh air.
MERCURIOUS
SOLUBILIS
Mercurius has a marked affinity for
right side. Herpes of right forearm, wrist & hand. Herpes
prepucialis of the right side extending across the abdomen. There
is itching which changes to burning on scratching & shooting
pains which are worse at night & in cold damp weather. Herpetic
eruptions which are surrounded by small pimples. Herpes with a
tendency to suppurate especially in persons with profuse sweat.
Nervous affections after suppressed
discharges especially in psoric patients. Glandular and scrofulous
affections of children.
NAT.
MUR.
Nat-mur has a special predilection
for skin about the mouth; on arms and eyes, chest, nape of neck;
genitals & bends of elbows & knees; knuckles. Adapted
to persons with greasy unhealthy skin. Herpes circinatus with
burning spots. Gnawing, itching, shooting pains which are worse
from heat; worse at seashore and from eating too much salt &
are better in open air & while sweating. Herpes labialis during
fever.
For the anaemic and cachectic,
whether from lots of vital fluids- profuse menses, seminal losses-
or mental affections. Great emaciation; losing flesh while living
well. Throat and neck of children emaciate rapidly during summer
complaint. Great liability to take cold. Irritability: child cross
when spoken to; crying from slightest cause; gets into a passion
about trifles, especially when consoled with. Awkward , hasty,
drops things from nervous weakness. Marked disposition to weep;
sad weeping mood, without cause, but consolation from others
<. her troubles.
NITRIC
ACID
Herpetic eruptions develop in whiskers,
between fingers, on alae nasi, on outer side of the thigh. There
is presence of itching which is worse on undressing, worse in
open air, at change of weather, from contact. Associated with
itching, the overall appearance of the skin is dry, cracked &
fissured with blackish discolouration. The skin is cracked practically
at all angles. It is also useful in post herpetic neuralgia where
the pain is sticking like a splinter.
RHUS
TOX.
Herpes with a marked predeliction
for the right side & hairy parts. Herpes of the face. The
itching is worse in winter & while sweating. Itching alternates
with pains in the chest & dysenteric stools.
Adapted to persons of rheumatic
diathesis; bad effects of getting wet, especially after being
over-heated. "Worse cold, wet". Worse wet; bathing;
washing; strain. Drawing, tearing pain, especially fibrous tissues;
joints; round joints. Restlessness; must move, though first movement
painful. Better from dry, warm application.
SULPHUR
Herpes miliaris, phlyctenoides, circinatus
& squamosus. Dry scaly herpes on nape of neck & ankles.
Moist herpes with small white vesicles in groups, forming scabs
over the whole face, especially above nose & about the eyes.
There is burning pain after scratching. The patient is always
worse from washing, bathing & getting warm in bed.
Adapted to persons of a scrofulous
diathesis, subject to venous congestion; especially of portal
system. Persons of nervous temperament, quick motioned, quick
tempered, plethoric, skin excessively sensitive to atmospheric
changes. For lean, stoop-shouldered persons who walk and sit stooping
like old men. Standing is the worst position for sulphur patients;
they cannot stand; every standing position is uncomfortable. Dirty,
filthy people, prone to skin affections. Aversion to being washed;
always < after a bath. Too lazy to rouse himself; too unhappy
to live.